Healthcare Provider Details

I. General information

NPI: 1841010709
Provider Name (Legal Business Name): OUT WATER MEDICAL ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 ROCHELLE AVE STE B
ROCHELLE PARK NJ
07662-3914
US

IV. Provider business mailing address

PO BOX 353
ROCHELLE PARK NJ
07662-0353
US

V. Phone/Fax

Practice location:
  • Phone: 201-291-8800
  • Fax: 201-291-0637
Mailing address:
  • Phone: 201-291-8800
  • Fax: 201-291-0637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANCIS W MEO
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 201-291-8800